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To perform an Akin osteotomy using suture anchors to achieve stability of the osteotomy line and avoid the need for a further operation to remove an implant. Akin osteotomy using suture anchors was performed on 35 feet of 30 patients (21 female, 9 male ; mean age 45 years, range 18-60 yrs) diagnosed with hallux valgus. In bilateral cases, surgery was firstly carried out on the foot in the more serious condition, followed by the second foot 2 months later. Preoperative and postoperative clinical evaluation of the patients was made using American Orthopaedic Foot and Ankle Society (AOFAS) scores. Preoperative AOFAS values for pain, function and alignment were measured. Pain values were 8 patients 20 points, 27 patients 0 points. Function values were, activity, 14 patients 4 points, 21 patients 0 points ; footwear requirements, 18 patients 5 points, 17 patients 0 points, MTP joint movement, 11 patients 5 points, 24 patients 0 points, Post-operative AOFAS values were measured and evaluated as follows. Pain values were 33 patients 40 points, 2 patients 30 points. Function values were, activity, 30 patients 10 points, 5 patients 7 points ; footwear requirements,32 patients 10 points, 13 patients 5 points, MTP joint movement, 22 patients 10 points, 13 patients 5 pointsThese results were found to be statisically highly significant (p<0.001). Rigid fixation was achieved with suture anchors and patients made an early return to normal activities. Postoperative shoes were used for early mobilisation.

Lateral epicondilytis is a frequent cause of elbow pain in the adult age population. The purpose of this study was to determine the effects of extracorporeal shock wave therapy (ESWT) effective on long term clinical and functional results in the treatment on patients with lateral epicondylitis. Forty-six patients suffering from lateral epicondylitis for at least 3 months were treated in this study. Clinical evaluation scoring system tests were used before an done year after the treatment for each patients. The VAS improved from 9,3 to 1.8, and the Nirschl values improved from 6,4 to 4.3. In the control group, VAS improved from 8,4 to 7, and the Nirschl values improved from 6,8 to 6,1. ESWT application to LE patients those are resistent to the theraphy, carries beneficial effects to the long term which was previously stated fort he short term, both clinically and functionally.